Ramsay sedation scale

Score	Response
1	Anxious or restless or both
2	Cooperative, orientated and tranquil
3	Responding to commands
4	Brisk response to stimulus
5	Sluggish response to stimulus
6	No response to stimulus

Motor activity assessment scale

Score	Level of sedation	Response to stimulation	Response to command	Examples of type of complex motor activity
6	Dangerously agitated and uncooperative.	No external stimulus required to elicit movement.	Does not calm down when asked.	Patient pulling at tubes or catheters or thrashing from side to side or striking at staff or trying to climb out of bed.
5	Agitated.	No external stimulus required to elicit movement.	Does not consistently obey commands (eg will lie down when asked but soon reverts to attempts to sit up)	Patient attempts to sit up and moves limbs out of bed.
4	Restless but cooperative	No external stimulus required to elicit movement.	Obeys commands.	Patient is picking at sheets or tubes or uncovering self.
3	Calm and cooperative	No external stimulus required to elicit movement.	Obeys commands.	Patient adjusts sheets or clothes purposefully.
2	Responsive to touch or name	Opens eyes or raises eyebrows or turns head toward stimulus or moves limbs when touched or name is loudly spoken.
1	Responsive only to noxious stimuli	Opens eyes or raises eyebrows or turns head toward stimulus or moves limbs in response to noxious stimulus (tracheal suctioning or 5 secs of vigorous orbital, sternal or nailbed pressure)
0	Unresponsive	Does not move with noxious stimulus

Score	Level of sedation-agitation	Response
7	Dangerous agitation	Pulling at endotracheal tube, thrashing, climbing over bed rails
6	Very agitated	Does not calm, requires restraints, bites endotracheal tube
5	Agitated	Attempts to sit up but calms to verbal instructions
4	Calm and cooperative	Obeys commands
3	Sedated	Difficult to rouse, obeyss simple commands
2	Very sedated	Rouses to stimuli. Does not obey commands
1	Unarousable	Minimal or no response to noxious stimuli